House passes Budget resolution – Seniors would benefit

Published in Rhode Island News Today on August 30, 2021

During a late-night negotiating session held Monday, Aug. 23, House Speaker Nancy Pelosi mended fences and brought centralist Democrats led by Rep. Josh Gottheimer (D-NJ), back to the fold. The next day, a united Democratic caucus adopted the Senate-passed $3.5 trillion budget resolution (S. Con. Res. 14) for fiscal year 2022, by a party vote of 220-212.

In order to push the budget resolution over the goal line, Pelosi had hammered out an agreement with 9 Democrat moderates, some representing swing states, to schedule a nonbinding vote on a separate, Senate bipartisan $1 trillion infrastructure package. Once the Senate bill is passed by the House chamber and signed by President Biden, the new law would authorize new federal spending to repair the nation’s highways, bridges, waterways, encourage transition of gas to electric cars, modernize airports, expand high speed internet and to protect the nations to electric grid. President Joe Biden considers the legislation to be “a once-in-a-generation investment in our infrastructure.”

“We are committed to passing the bipartisan infrastructure bill. We have long had an eye to having the infrastructure bill on the president’s desk by Oct. 1, the effective date of the legislation,” says House Speaker Pelosi.

The passage of the House budget resolution also clears the way for a vote on legislation what would restore portions of the 1965 Voting Rights Act that required localities with histories of voter suppression to get federal clearance before making changes to election laws. 

The Budget resolution, advancing President Biden’s Build Back Better agenda, also included reconciliation instructions to provide Senate Democratic leadership with the means to pass a comprehensive reconciliation package, without the threat of a Republican filibuster, with just 51 votes in the Senate, rather than the usual 60 votes. 

Now it is sausage making time as 13 House Committees and 12 Senate Committees begin to craft legislative text, allocating the $3.5 trillion to various investment priorities, to fulfill the reconciliation instructions with a tentative deadline to submit tax and spending legislation by Sept. 15. Committees begin marking up their contributions to the Budget reconciliation package during the week of Sept. 6.

House Adopts Sweeping Legislative Reforms

“The historic passage of this budget resolution puts Congress on track to pass some of the most sweeping legislative reforms in more than a half-century. As President Biden likes to say, ‘Don’t tell me what you value, show me your budget, and I’ll tell you what you value,” stated Rep. David N. Cicilline (D-RI) in a statement released after the budget resolution’s passage.

“This budget paves the path for the Build Back Better Plan to make historic investments in lowering costs for health care, prescription drugs, and childcare while cutting taxes for middle class families and creating millions of new jobs to tackle the existential threat of climate change,” said the Rhode Island lawmaker. Even better, it’s completely paid for by making sure the wealthiest Americans and largest corporations pay their fair share in taxes, he says.

“The transformative investments in women and families – including childcare, paid leave, home-based care and universal free pre-K – will unlock the full economic potential of parents in the workforce and boost our economy. This is the first step in the process, but I’m hopeful this investment in hardworking American families will be able to make our country stronger than ever before America’s seniors will see the strengthening of the nation’s social safety net by allocating billions for affordable housing, home, adds Cicilline. 

Rep. Tom Cole (R-OK) slammed the passage of the House budget resolution which included a provision to allow Democrats to bypass debate and a separate vote on the Senate-passed budget for fiscal year 2022, which includes reconciliation instructions to usher in $3.5 trillion in new federal spending on socialist-style programs.

“I am astounded by the irresponsible manner in which Speaker Pelosi operated the House this week, simply because she could not get members of her own party in line and on board with her will and wishes,” states Cole. “As a result, Speaker Pelosi had the House skip critical debate and an individual vote on a consequential budget resolution solely intended to trigger $3.5 trillion worth of radical tax-and-spend legislation. Instead of going through the normal process, the reckless budget was buried in another measure to ensure its adoption, whether a majority of support actually existed within the Democratic Caucus,” adds Cole.  

Strengthening the Nation’s Social Safety Net

According to a blog posting, “The House-passed Budget Resolution Holds Historic Promise for Seniors,” on the Washington, DC-based National Committee to Preserve Social Security and Medicare’s (NCPSSM) website, the House budget resolution expands Medicare benefits by adding dental, vision and hearing coverage to traditional Medicare. “This expanded coverage is crucial to seniors overall health, since the absence of proper dental, vision and hearing care can increase the risk of grave medical consequences – from dementia to disabling injuries. Seniors have not seen their Medicare benefits expanded since 2003, with the passage of the significant but flawed D prescription drug program,” says NCPSSM.

NCPSSM says that the Democratic budget blueprint “will aim to correct the main shortcomings in Medicare Part D by allowing the program to negotiate drug prices directly with Big Pharma.  This will save beneficiaries an estimated $102 billion over 10 years.

NCPSSM adds that the budget resolution would allocate billions of new federal Medicaid dollars to support Home and Community-based Services (HCBS).  This historic new level of funding would allow seniors to age in place in their community rather than being institutionalized. “Research has shown that older people have better health outcomes when they can remain in their homes and communities. Meanwhile, the pandemic has only highlighted the risks of putting seniors into nursing homes, notes the blog article.

It’s Wait and See

Will Sens. Kysten Sinema (D-Ariz.) and Joe Manchin (D.V.), who are concerned over the cost of the emerging reconciliation bill, stay with their Democratic colleagues when a vote takes place? There is no wiggle room for passage if they choose not to cast their votes with the Democratic caucus.

With a slim Democratic majority in both the House and Senate chambers, the political necessity of keeping their caucuses unified in passing legislation may well result in paring down spending levels. We may well see a smaller expansion of Medicare and less funding for HCBS.

Stay tuned. 

A Call for House Dems to Bring Back House Aging Committee

Published in RINewsToday on August 16, 2021

Just days ago, Congressman David Cicilline, along with fellow lawmakers, Jan Schakowsky (D-IL), Doris Matsui (D-CA), who serve as co-chairs of the House Democratic Caucus Task Force  on Aging and Families, introduced H. Res. 583 to amend the rules of the House to establish a House Permanent Select Committee on Aging. This is the Rhode Island lawmaker’s fourth attempt, and it might well succeed with two co-chairs of the House Caucus Task Force on Aging and Families cosponsoring the resolution.

Getting Schakowsky and Matsui on board is “very significant,” says Cicilline.  He also has the support of the prestigious Washington, D.C.-based Leadership Council on Aging Organizations (LCAO), representing 69 national aging groups.

The original House Permanent Select Committee on Aging, which was active between 1974 and 1992, conducted investigations, hearings and issues reports to inform Congress on issues related to aging, putting a legislative spotlight on the challenges and issues facing the growing aging population in America. 

H. Res. 583 would reestablish the House Aging Committee without having legislative jurisdiction, this being no different than when the permanent committee previously existed. It would be authorized to conduct a continuing comprehensive study and review of aging issues, such as income maintenance, poverty, housing, health (including medical research), welfare, employment, education, recreation, and long-term care. These efforts impacted legislation taken up by standing committees. It has been referred to the House Rules Committee for consideration.

It’s relatively simple to create an ad hoc (temporary) select committee, says the Congressional Research Service. All it takes is a simple resolution that contains language establishing the committee—giving a purpose, defining membership, and detailing other issues that need to be address.  Salaries and expenses of standing committees, special and select, are authorized through the Legislative Branch Appropriations bill.

An Urgent Time Requires Passage of H. Res. 583  

“America’s seniors have spent a lifetime working hard and moving our country forward and they deserve the best in their retirement,” says Cicilline. “The pandemic has disproportionately impacted seniors and now with growing concerns about inflation, seniors on fixed incomes will bear the burden of the rising cost of prescription drugs, food, housing, and other essentials,” he says, noting there has never been a more urgent time for Congress to reauthorize the House Permanent Select Committee on Aging than right now. 

“The pandemic magnified gaps in U.S. policy that routinely forget about Older Americans and the need to nurture a culture that respects them. From the lack of a universal long-term care policy to barriers to vaccine access earlier in the pandemic, these are issues that need to be examined so that Congress can put forward strong solutions to support our aging population and the communities they live in,” says Schakowsky. 

“Older Americans today face many difficulties—including achieving retirement security and affording the rising costs in health care and prescription drugs—which have only been worsened by the COVID-19 pandemic,” said Matsui, stressing by creating a House Aging Committee Congress can continue to strengthen and support policies that are important to seniors throughout the country. 

Supporters Call on House Resolution’s Passage 

As the Leadership Council of Aging Organizations (LCAO), the preeminent national organization representing and focused on the well-being of older adults, noted in its letter of support for reestablished the House Permanent Select Committee on Aging, “now is the opportune time to reestablish the HPSCoA. Every day, 12,000 Americans turn 60. By 2030, nearly 75 million people in the U.S.—or 20% of the country—will be age 65 or older. As America grows older, the need for support and services provided under programs like Social Security, SSI, Medicare, Medicaid and the Older Americans Act also increases.”

“We strongly support Cicilline’s legislation to re-establish the House Permanent Select Committee on Aging. This committee did crucial work on behalf of American seniors between 1974 and 1992, including investigating nursing home abuse, promoting breast cancer screening for older women, improving elderly housing, and bringing attention to elder abuse, among other issues,” says Max Richtman, president and CEO, National Committee to Preserve Social Security and Medicare, warning that “we should not wait another day to re-establish a committee dedicated to protecting America’s seniors.” 

“Cicilline is 100% right that it is time to re-establish this vital committee, with ten thousand Americans turning 65 every day, amid a pandemic that has taken a disproportionate toll on seniors.  Today, there are a new set of issues that demand the attention of a dedicated House committee — prescription drug pricing, long-term care, soaring medical costs and the future of Social Security and Medicare,” adds Richtman.

Bob Blancato who had the longest tenure of any staff on the Committee said: “First I commend Cicilline for introducing the legislation.  The timing was especially good as the release yesterday of the 2020 Census data shows a continued sharp increase in the number of older Americans in our nation.” 

“While I support this legislation it does face considerable odds to gain passage,” warns Blancato, noting that two things could change that.  “The resolution must have backing from House Leadership especially from Speaker Pelosi and it must become bipartisan as the original Committee was.  In the end it is about how do advocates make this into a political issue.  This is an opportunity for the Leadership Council of Aging Organizations to show if it has clout,” he says.

Adds, CEO Sandy Markwood, of National Association of Area Agencies on Aging: “We are a rapidly aging nation: one in five Americans will be age 65 or older within this decade. This historic demographic shift requires policymakers and the public to factor in aging and how we can age well at home and in the community into every policy conversation. For this, the House of Representatives should have a special aging committee as the Senate does: to spotlight not only older Americans, but also the impact of this massive shift on all generations, our communities and society at large. COVID-19 shone a bright spotlight on what we need to do to help older adults age well at home, but local aging leaders like n4a’s members need the House’s leadership to give aging policy the focused attention it deserves…and our demographics demand.”

According to Robert S. Weiner, a close friend and confident of House Aging Committee Chair Claude Pepper (D-Florida) who served as his committee Chief of Staff, the Special Committee was and can  again be the protector of seniors.  “Among its most significant actions — all bipartisan– were advocating and causing enactment of  the law, passed 359-2 in the House and 89-10 in the Senate, barring age based “mandatory retirement and protecting people over 40 from age discrimination,” he remembers.

“The courts are now fudging with that clear intent, and the House Aging Committee would be a visible and influential protector. Transparency by nursing homes and congregate housing settings– as mandated by laws pressed by Pepper decades ago but now ignored —  would be another benefit,” states Weiner. “In housing, health care, nutrition, crime victimization, transportation, accessibility, and social services –in the whole array of actions stopping ageism by local, state, and federal agencies and the courts, including the Supreme Court — the House Aging Committee would again be an invaluable champion for seniors,” he adds. 

“During the 117th Congress, passing H Res. 583 is also necessary to protect against under-the-radar political invasions of Social Security’s surplus — a fund paid by seniors in the program– and attempts to use the money to pay for other programs including tax cuts for the wealthy,” warns Weiner.

As a long-time Washington insider, Weiner says the best way to pass H Res 583 to reestablish the House Aging Committee is for the chief congressional advocate, Cicilline, to talk directly with the top three House leaders, Speaker Nancy Pelosi (D-CA), Majority Leader Steny Hoyer (D-MD and Whip James E. Clyburn (D-SC) and makes the case on the merits and bill’s support while asking for quick endorsement. “Looking back, “that’s how Pepper always did it – he’d pull people to a place on the floor and talk with them there, or on the phone. 

Weiner recalled how Pepper, the fierce aging advocate from Florida, called Rosalyn Carter to ask her husband, President Jimmy Carter for a meeting to discuss the mandatory retirement Carter who ultimately endorsed the bill.  It passed the House 359-2 and the Senate 89-10, being considered by Congress. Ultimately, “the full House Aging Committee (40 members) met with and there was a glorious White House signing ceremony,” he says.

A Call for House Leadership Support 

Cicilline goes into the 117th Congress with the support of long-time Congressional senior advocates, Schakowsky and Matsui and the backing of a prestigious coalition aging organizations to bring back the House Aging Committee.  It will happen this Congress if House Speaker Pelosi along with Majority Leader Hoyer and Whip Clyburn can bring the moderates and progressives of the Democratic House Caucus together to support H. Res. 583.  

Politically it’s the smart thing to do.  It’s a winning policy issue for America’s seniors and this group has traditionally been the highest turnout age group in elections.  But, more important, it’s the right thing to do especially at a time when seniors have been a disproportionately impacted by the continuing COVID-19 pandemic.    

I say pass H. Res. 583. 

Seniors would benefit in President Biden’s $6 trillion budget

Published in RINewsToday on June 14, 2021

On May 28, with the release of a $6 trillion budget for fiscal year (FY) 2022, President Joe Biden outlined his values and vision as to how he proposes to revive the nation’s sputtering economic engine as it emerges from the devastating impact of the COVID-19 pandemic. The 72-page budget document, “Budget of the United States,” (with more than a 1,400-page appendix) details his spending priorities that begin next Oct. 1. Biden’s generous budget depends on increasing taxes on America’s corporations (from 21 to 28 percent) and high earners, who received significant tax breaks from the President Trump/GOP tax cuts of 2017.

With the FY 2022 Budget pushing federal debt to the highest levels since World War 1I, Republican lawmakers quickly called the proposal “dead on arrival” in Congress.  However, Cecilia Rouse, chair of President Biden’s Council of Economic Advisors says the Biden Administration is willing to live with a budget deficit to invest in the economy now, especially with low interest rates to borrow; deficits can be reduced later. 

President Biden’s new spending under the just released proposed FY 2022 budget, recognizing his Administration’s priorities, reflects the major proposals already outlined under the administration’s $2.3 trillion American Jobs Plan and $1.8 trillion American Families Plan. Provisions in these two proposals would overhaul the nation’s aging infrastructure and invest in education, childcare, paid family and medical leave, fight climate change. 

President Biden’s spending plan also recognizes priorities outlined in the American Rescue Plan passed earlier this year as well as the Administration’s “skinny” discretionary budget request released in April. Most importantly, it reflects a commitment from the president to safeguard Medicare, Medicaid and Social Security.

Loving It or Hating It Depends on Where You Sit

In remarks delivered Thursday in Cleveland, President Biden made the case for his budget request and what he describes as an investment in the country’s future. “Now is the time to build [on] the foundation that we’ve laid to make bold investments in our families and our communities and our nation,” he said. “We know from history that these kinds of investments raise both the floor and the ceiling over the economy for everybody.”

In the FY 2020 Budget proposal’s “Message from the President”, Biden says, “The Budget invests directly in the American People and will strengthen the nation’s economy and improve our long run fiscal health. It reforms our broken tax code to reward work instead of wealth while fully paying for the American Jobs and American Family Plans over a 15- year period. It will help us build a recovery that is broad-based, inclusive, sustained, and strong,”

Of course, response to Biden’s Spending plan depends on which side of the aisle you are sitting.

House Speaker Nancy Pelosi (D-CA) released a statement strongly endorsing Biden’s fiscal blueprint. “Congressional Democrats look forward to working with the Biden-Harris Administration to enact this visionary budget, which will pave the path to opportunity and prosperity for our nation. The Biden Budget is a budget for the people,” she said.

On the other hand, Senate Minority Leader Mitch McConnell strongly opposing Biden’s Budget proposal. “Americans are already hurting from far-left economics that ignores reality,” said McConnell, in a statement. “The Administration’s counterproductive ‘COVID relief bill’ has slowed rehiring. Families are facing painful inflation, just as experts warned the Democrats’ plans might cause. And the Administration wants to triple down on the same mistakes?” said the six-term Republican Kentucky Senator.

With the Democrats holding the slim majorities in the House and Senate and controlling the White House, Biden’s FY 2022 Budget proposal will have more weight than if the Republicans were in the majority, says Dan Adcock, Government Relations and Policy Director at the Washington, DC-based National Committee to Preserve Social Security and Medicare (NCPSSM).

According to Adcock, Biden’s funding numbers will change as his FY 2022 budget proposal goes through the appropriation process in the upcoming months. With its release, Congress can now begin negotiating funding levels and spending bills. Competition for a finite amount of funding will ultimately result in funding level ultimately allotted to programs and agencies by each of the 12 appropriations under their jurisdiction. Funding for most programs important to older Americans is under the jurisdiction of the Subcommittee on Labor, Health and Human Services and Education.

“With 10,000 Baby Boomers turning 65 every day – and the number of seniors projected to double by 2050 – it’s clear that President Biden understands the need to safeguard the older Americans he calls ‘pillars of every community – now and into the future.” Says Max Richtman, NCPSSM’s President and CEO.

Slashing Drug Costs to Pay for Expanding Medicare Coverage

Richtman says that Biden’s fiscal blueprint calls on Congress to allow Medicare to negotiate prices for certain high-cost, life-saving drugs that many seniors currently cannot afford and to require manufacturers to pay rebates when drug prices rise faster than inflation. These reforms could yield over half a trillion in federal savings over 10 years, which could help pay for coverage expansions and improvements, including access to dental, hearing, and vision coverage in Medicare,” he notes. Today, traditional Medicare does not cover routine care like dental checkups or hearing aids.

According to Richtman, President Biden’s budget also includes more than $400 billion in new spending over ten years to expand Home and Community-based Services (HCBS) for low-income seniors and people with disabilities who prefer to receive skilled care in the comfort of their homes and communities, even moreso after the devastation COVID wrought on nursing homes.  

In states that have not taken advantage of Affordable Care Act (ACA) opportunities to expand Medicaid, the budget proposes providing premium-free, Medicaid-like coverage through a federal public option, along with incentives for states to maintain their existing expansions. 

Biden’s FY 2022 budget also urges Congress to improve customer service for Social Security beneficiaries to prescription drug pricing reform to expanded HCBS, adds Richtman.  It also proposes a $1.3 billion (or 9.7%) funding increase for the Social Security Administration.  The increase seeks to improve customer service, including services at SSA’s field offices, state disability determination services, and teleservice centers.

 The Older Americans Act (OAA) provides funding for a wide range of home and community-based services, such as meals-on-wheels and other nutrition programs, in-home services, transportation, legal services, elder abuse prevention and caregivers’ support. These programs help seniors stay as independent as possible in their homes and communities. 

For details about Biden’s FY 2022 Budget proposal and OAA funding levels, made available from the Washington, DC-based National Association of Area Agencies on Aging, go to: https://www.n4a.org//Files/FY22%20PresBudget%20and%20historical%20Labor-HHS%20Appropriations%20Chart.pdf

 Stay Tuned 

The House continues its work on hammering out appropriation bills through subcommittees in June and in the full House in July.  The Senate’s work is expected to begin in mid-Summer and to continue well into September. If the appropriate bills are not passed and signed into law by Oct. 1, Congress will need to pass a continuing resolution to fund the federal government into the first months of FY 2022.

Like most Budget proposals, especially in a partisan Congress, Biden’s spending plan will need to be rewritten to win support from lawmakers on both sides of the aisle. However, it will serve as a roadmap for a Democratic controlled Congress in crafting 12 appropriation spending bills. Partisan bickering during the appropriations process may well force passage of a continuing resolution before Oct. 1 to block a government shutdown.